Active NPI
Sidany Walker, PHARMD
- Pharmacist
- The Villages, FL
National Provider Identifier
1568920015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS55483
- Practice address
- 327 Colony Blvd
The Villages, FL 32162-6084 - Phone
- (352) 391-1808
- NPI assigned
- Mar 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS55483 | FL | Primary |
Addresses
Primary practice location
327 Colony Blvd
The Villages, FL 32162-6084
Mailing address
5340 Lookout Pass
Wesley Chapel, FL 33544-5501
Phone (267) 825-4101
Other names 1
- Sidany Kuong
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS55483 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Super Markets Inc | Past | Accepting new patients | |
| Publix Super Markets Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Winter Haven, FL
- NPI 1760356380
-
- Community/Retail Pharmacy
- The Villages, FL
- NPI 1851416853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1568920015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5340 LOOKOUT PASS",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335445501",
"telephone_number": "267-825-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 COLONY BLVD",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321626084",
"telephone_number": "352-391-1808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "SIDANY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-04",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS55483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SIDANY",
"last_name": "KUONG",
"code": "1",
"type": "Former Name"
}
]
}Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.